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Short Bowel Syndrome Is Not a Contraindication for Kidney Transplantation.
Pediatr Transplant
December 2024
Division of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Article Synopsis
- Short bowel syndrome (SBS) results from significant small intestine removal, leading to issues like diarrhea and difficulties with drug absorption, which can complicate kidney transplantation.* -
- A case study is presented of an 18-month-old boy with SBS who successfully underwent kidney transplantation and maintained good health for four years without needing intestinal surgery.* -
- The immunosuppressive treatment using prednisolone, tacrolimus, and mycophenolate mofetil worked effectively in this patient, suggesting these drugs are viable options for others with SBS undergoing transplantation.*
Laparoscopic treatment for renal paratransplant hernia: A case report.
Int J Surg Case Rep
May 2021
Department of Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan.
Introduction: There are limited reports regarding renal paratransplant hernia (RPH), which is a rare type of internal hernia. Herein, we report a case of successful laparoscopic treatment of RPH.
Presentation Of Case: A kidney transplant recipient presented to our emergency department with a 6-h history of abdominal pain and vomiting.
The difficult abdominal closure after paediatric intestinal transplantation: Use of abdominal rectus muscle fascia and literature review.
Pediatr Transplant
August 2019
Institute of Liver Studies, King's Healthcare Partners Denmark Hill Site, London, UK.
Primary abdominal wall closure after intestinal and multivisceral transplantation may not be possible because of loss of abdominal domain and/or graft size/abdominal cavity mismatch. Traditional closure techniques for the open abdomen may not be valid in these circumstances because of severe scarring of the abdominal wall from multiple previous surgeries in this particular group of patients. We present our initial experience with the use of non-vascularized abdominal rectus muscle fascia in two patients who underwent deceased donation and living-related combined liver and small bowel transplantation, respectively, and who could not be closed primarily.
View Article and Find Full Text PDFSurgeon's perspective on short bowel syndrome: Where are we?
World J Transplant
October 2018
Liver and Multiorgan Transplant Unit, St. Orsola-Malpighi University Hospital, Bologna 40138, Italy.
Article Synopsis
- Short bowel syndrome (SBS) happens when a person loses a lot of their small intestine, making it hard for them to stay healthy and grow, so they need special food through an IV.
- To help with SBS, doctors usually use a method called parenteral nutrition and sometimes do surgery if there's enough small intestine left to absorb nutrients properly.
- Some surgeries can help lengthen parts of the intestine, and doctors are now also looking at using parts of the colon and small intestine for transplants, but this is still tricky and only suitable for certain patients.
Identical Twin Small-bowel Transplantation Without Maintenance Immunosuppression: A 5-year Follow-up and Literature Review.
Transplant Direct
August 2018
Xijing Hospital of Digestive Diseases, the Fourth Military Medical University, Xi'an, China.
Background: The availability of an identical twin donor that allows avoidance of complications related to graft rejection and immunosuppression represents an ideal treatment option for irreversible intestinal failure.
Methods And Results: We described a 45-year-old woman who lost most of her small bowel due to acute superior mesenteric thrombosis received a living-related small bowel transplant from her identical-twin sister. Monozygosity was established by buccal smear DNA amplification using short tandem repeat.
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